NPI | 1417553157 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA JANE SPENCER President/Owner 317-588-1000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-12-08 |
Last Update Date | 2020-12-21 |